Provider Demographics
NPI:1326031451
Name:OEHRLEIN, CHARLES R (DPM)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:R
Last Name:OEHRLEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 HIGHWAY 150
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244
Mailing Address - Country:US
Mailing Address - Phone:205-271-7620
Mailing Address - Fax:205-263-1655
Practice Address - Street 1:2321 HIGHWAY 150
Practice Address - Street 2:SUITE 121
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244
Practice Address - Country:US
Practice Address - Phone:205-271-7620
Practice Address - Fax:205-263-1655
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00198213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4275750002Medicare NSC
AL051502809Medicare PIN
U71324Medicare UPIN